http://journals.lww.com/topicsingeriatricrehabilitation/pages/currenttoc.aspx
en-usSun, 02 Aug 2015 19:07:49 -0500Wolters Kluwer Health RSS Generatorhttp://images.journals.lww.com/topicsingeriatricrehabilitation/XLargeThumb.00013614-201504000-00000.CV.jpeghttp://journals.lww.com/topicsingeriatricrehabilitation/pages/currenttoc.aspx
http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/The_Thieves_Market.1.aspx
No abstract available]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00001http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Conceptualizing_the_CHOICE_of_Driving_Retirement.2.aspx
Driving retirement for older adults represents a daily process that influences geriatric rehabilitation. It defines a highly subjective, emotional process that impacts older adults, their family, and society. Yet, it remains unclear if this process involves a decision or a choice since these terms are often used interchangeably. However, conceptually they are not. This systematic literature review examines the conceptual difference between choice and decision, discusses factors related to choice, and applies a CHOICE Framework (Capabilities of Healthy Older-adults Integrating Cognition and Emotions) within the context of driving retirement. Understanding choice may provide insight about rehabilitative issues related to older adults.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00002http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Effect_of_Agility_Training_Under_Single_Task.3.aspx
Objectives: The objective of this study was to check the efficacy of agility training under single- versus dual-task conditions with different task priorities.
Subjects and Methods: Sixty older adults were assigned to 3 intervention groups that received agility training with fixed priority instructions and variable priority instructions.
Results and Conclusions: Agility training resulted in improved balance impaired older adults. Dual-task groups showed better training benefits, but no significant differences were observed between the fixed and variable groups.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00003http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Transitions_in_Frailty_Status_in.4.aspx
This cohort examines transition rates between states of frailty over a 12-month period and evaluates the risk factors involved in such transitions. Frailty was defined as having 3 or more of the 5 criteria: weight loss, weakness, exhaustion, slow walking speed, and low physical activity. A total of 36.8% of the participants made transitions between states of frailty. History of cancer (odds ratio [OR], 3.4; 95% confidence interval [CI], 1.1-10.9), urinary incontinence (OR, 2.9; 95% CI, 1.3-6.1), and lower advanced activities of daily living (OR, 1/0.8; 95% CI, 0.6-0.9) were significant predictors of worsened frailty. Frailty is a dynamic process with transitions in both directions, worsening and improvement, even within such a short period.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00004http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Effect_of_a_Program_Based_on_Balance_Exercises_on.5.aspx
Objectives: To evaluate the efficacy of a program on the basis of balance exercises on gait, balance, functional mobility, fear of falling, and falls in prefrail older women at risk of falling.
Methods: Thirty older women were randomly distributed for an experimental (EG) or a control group (CG). Assessments were performed of gait (GAITRite), balance, and functional mobility with the sit-to-stand, semitandem and alternate step tests, fear of falling, and occurrence of falls. The EG performed progressive exercises, which challenged balance in different tasks and environment conditions. The CG practiced exercises for the upper limbs.
Results: The mixed analysis of variance with repeated measures revealed significant interactions that showed increase in stride speed and length, better performance in the tests of balance and mobility, and reduced fear of falling. The EG showed fewer falls (P = .029) during the period of intervention than did the CG. The number necessary to treat ranged from 1 to 3.8.
Conclusion: The results reinforce the importance of including exercises that challenge balance, in high doses and progressive intensity, in programs designed for older women.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00005http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Occupational_Leadership_to_Facilitate_Occupational.6.aspx
Research indicates that older adults with visual impairment experience self-imposed and societal restrictions in physical and social environments. The World Health Organization has identified a need to expand access to eye health services and to increase rehabilitation for individuals with visual impairment or blindness. Through the lens of occupational science, the models of Occupational Adaptation and Situational Leadership were examined to create a framework to promote occupational engagement. Occupational Leadership was developed from these models for health care practitioners to guide and facilitate the occupational engagement of older adults with visual impairment at the community level.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00006http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Family_Recognition_of_Delirium_in_Post_acute_Care_.7.aspx
Delirium is a common, serious, and potentially life-threatening syndrome affecting older adults. Older adults experiencing delirium have poorer outcomes, higher mortality, and higher health care costs. The purpose of this article is to describe the symptoms of delirium being observed in older adults admitted for rehabilitation to a rehabilitation hospital or skilled nursing center. The Confusion Assessment Method and the Confusion Assessment Method-Family Assessment Method were used to identify delirium and document family observations. The article discusses implications for the rehabilitation team.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00007http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Neuroendocrine_Considerations_in_the.8.aspx
Pituitary apoplexy, defined as infarction or hemorrhage of the pituitary gland, can cause physiologic disturbances as a result of neuroendocrine homeostatic disruption and compression of neurologic structures. Deficiency of hormones secreted by the pituitary gland can potentially contribute to a patient's functional decline and become a barrier to successful rehabilitation. We present a case of a patient with pituitary apoplexy and the therapeutic challenges faced during rehabilitation.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00008http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Rehabilitation_Outcomes_of_Patients_With_Stroke_.9.aspx
Objective: To investigate the effect of age on rehabilitation outcomes of patients with acute stroke.
Design: Retrospective observational cohort study.
Setting: Acute inpatient rehabilitation department in general hospital.
Participants: Five hundred fifty-six patients with acute stroke admitted in 5 years.
Intervention: Standard interdisciplinary rehabilitation program for 3 hours per day.
Main outcome measures: Onset-admission interval, length of stay (LOS), neurological impairment according to National Institutes of Health Stroke Scale, activity of daily living disability measured by the functional independence measure (FIM), degree of disability according to the modified Rankin Scale, and discharge destination.
Results: Mean age of our patients was 68.4 ± 12 years, and 356 (64%) of them were above the age of 65 years. Mean FIM value at admission and at discharge was significantly higher (P = .017 and P = .01, respectively), FIM gain was similar (20.6 ± 13 vs 17.1 ± 17.8; P = not significant), and FIM efficacy (FIM gain/LOS) was significantly higher (0.6 ± 0.6 vs 0.34 ± 0.32; P = .01) in the younger group. Functional independence measure at discharge and FIM efficacy were significantly correlated with age, LOS, and FIM at admission. The rate of home discharge was similar between elderly and young patients with stroke being as high as 96.2%.
Conclusions: Although functional outcomes of younger patients with stroke were better as compared to the older patients with stroke, at the end of rehabilitation most of our patients regarding age were able to return home independently.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00009http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Exploring_the_Relationship_Between_Activity_and.10.aspx
Purpose: To examine the association between activity and physical participation in older adults with Parkinson's disease (PD) and those without PD.
Methods: Participants were 190 volunteers with PD (n = 74) and without PD (n = 116) between 50 and 94 years. They completed the Continuous Scale Physical Functional Performance 10-item test and the Community Healthy Activities Model Program for Seniors physical activity questionnaire for older adults as measures of activity and participation, respectively.
Conclusions: Associations between participation and activity were small to moderate for adults with PD and small for those without PD. Participants with PD also had significantly lower activity scores than participants without PD. Older adults with PD are more limited in activity and are approaching a point where activity limitations also constrain participation.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00010http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Effects_of_Water_Based_and_Callisthenic_Exercise.11.aspx
Objective: This study aimed to analyze and compare the role of a water-based exercise program versus a combination of water and callisthenic exercises on postural control, functional independence, and freezing of gait (FOG) in patients with mild to moderate Parkinson disease.
Methods: Twenty-five community-dwelling participants with idiopathic Parkinson disease were recruited. Of these, 9 participants took part in a water-based program of physical exercises and the other 16 participants took part in a combined program that consisted of callisthenic exercises plus an aquatic exercise session. Both programs were 16 weeks in duration. The clinical evaluation assessed the festination by means of the FOG score test; postural control was verified by means of the balance test of the short physical performance battery, and the Spanish validated version of the Unified Parkinson's Disease Rating Scale part 2 was used to assess functional independence. Participants were evaluated before and after 16 weeks of both proposed programs.
Results: The results showed improvement in FOG for both groups, although a significant main effect was observed only in the patients who performed the callisthenic exercise plus an aquatic exercise program. Postural control did not show significant improvements after both proposed physical exercise programs as soon as functional autonomy. Our preliminary results suggest that training sessions with the combination of water plus callisthenic exercises may be a useful physical rehabilitation strategy for individuals with mild to moderate Parkinson disease who have FOG.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00011http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Motor_Imagery_Improves_Balance_in_Older_Adults.12.aspx
The purpose of this study was to establish the effects of motor imagery training on body sway and performance of the Functional Reach test in older adults. Twenty subjects were randomly assigned to the control or experimental group. Participants in the experimental group imagined themselves performing different swaying and reaching exercises. Participants in the experimental group showed statistically significant improvement in the following parameters: increased forward functional reach, decreased trace length with eyes open on solid surface, and decreased velocity with eyes open on solid surface. Motor imagery training in older adults can be an effective intervention to decrease fall risks and improve balance.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00012http://journals.lww.com/topicsingeriatricrehabilitation/Fulltext/2015/04000/Reliability_of_the_Nonweightbearing_Inclinometric.13.aspx
The ankle range of motion (ROM) limitation increases fall risk. High reliability methods for the ankle ROM measurements require specific instrumentation or the weightbearing position—often problematic in older patients. This study tested the reliability of a new approach to measuring the ankle ROM in the supine position. In total, 256 measurements were performed on older inpatients with orthopedic problems. Intra- and interrater reliability were high for dorsiflexion (intraclass correlation coefficient [ICC]: 0.899-0.967) and moderate to high for plantar flexion measurements (ICC: 0.662-0.956). Our approach allows for precise measurement of the ankle ROM and could be useful in evaluation of the fall risk and rehabilitation progress in older patients.]]>Wed, 01 Apr 2015 00:00:00 GMT-05:0000013614-201504000-00013